Thom Pain (based on nothing), in which the titular character relives some of his most painful childhood memories, is described as such: "The play concerns the life of a tragic and hilarious character named Thom, who has been described as, 'just like you, except worse. He is trying to save his life, to save your life — in that order. In his quest for salvation, he'll stop at nothing, be distracted by nothing, except maybe a piece of lint, or the woman in the second row.'"

The monologue premiered at the 2004 Edinburgh Festival, performed by James Urbaniak. It then moved Off-Broadway in 2005. Hal Brooks served as director.